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患者马××,农妇,住院号178。因妊娠36~+周,下腹阵痛,在家破膜,于1978年1月29日零时入院候产。患者一向体健,过去月经正常。已婚6年,孕4产3,第二胎于1975年10月在本院剖腹产1活婴,产后高热6天。体查:发育正常,营养中等,T37℃,BP110/70,心肺正常,肝脾未触及。产科情况:宫底X-4横指,胎方位左枕前,胎心音142次,先露头,S-2肛查宫口开3cm。孕妇入院后于当日零时30分顺产活女婴,体重2,400g。产后2小时胎盆未下,阴道流血不多,即在10%葡萄糖500ml加催产素10u静脉滴注,下行胎盆徒手剥离术,术中发现胎盆粘连甚紧,界限
Patient × ×, peasant women, hospital number 178. Due to pregnancy 36 ~ + weeks, abdominal pain, rupture of the home, at January 29, 1978 admitted to the waiting midnight. Patients have always been healthy, normal menstruation in the past. Married 6 years, pregnant 4 3, the second child in October 1975 in our hospital caesarean section 1 live baby, postpartum fever 6 days. Physical examination: normal development, moderate nutrition, T37 ℃, BP110 / 70, normal heart and lung, liver and spleen not touched. Obstetric conditions: X-4 cross-refers to the end of the Palace, fetal position before the left pillow, fetal heart sound 142 times, first outcrop, S-2 anal check cervix open 3cm. Pregnant women admitted to the hospital at 0:30 on the same day live births baby girls, weighing 2,400 g. 2 hours after birth, the fetus is not under the vagina bleeding small, that is, 500ml of 10% glucose plus oxytocin 10u intravenous drip, downward tire tread hand stripping surgery, found that the tire adhesion is very tight, the boundaries